Evidence map›Paper›PMID 26138754›Full record

ArticleBMC psychiatry2015

Use of a formal consensus development technique to produce recommendations for improving the effectiveness of adult mental health multidisciplinary team meetings.

Rosalind Raine, Caoimhe Nic a' Bháird, Penny Xanthopoulou, Isla Wallace, David Ardron, Miriam Harris, Julie Barber, Archie Prentice, Simon Gibbs, Michael King and 5 more

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Article in BMC psychiatry, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Rosalind RaineDepartment of Applied Health Research, University College London, London, WC1E 7HB, UK. r.raine@ucl.ac.uk.
Caoimhe Nic a' BháirdDepartment of Applied Health Research, University College London, London, WC1E 7HB, UK. c.bhaird@ucl.ac.uk.
Penny XanthopoulouDepartment of Applied Health Research, University College London, London, WC1E 7HB, UK. P.D.Xanthopoulou@exeter.ac.uk.
Isla WallaceDepartment of Applied Health Research, University College London, London, WC1E 7HB, UK. i.wallace@ucl.ac.uk.
David ArdronPatient and Public Involvement Representative, North Trent Cancer Research Network, Consumer Research Panel, ICOSS, The University of Sheffield, Western Bank, Sheffield, S10 2TN, UK. daveardron@aol.com.
Miriam HarrisPatient and Public Involvement Representative, London, UK. miriam@harrises.eu.
Julie BarberDepartment of Statistical Science, University College London, Gower Street, London, WC1E 6BT, UK. j.barber@ucl.ac.uk.
Archie PrenticeRoyal College of Pathologists, 2 Carlton House Terrace, London, SW1Y 5AF, UK. archie.prentice@rcpath.org.
Simon GibbsNational Heart and Lung Institute, Imperial College London, Du Cane Road, London, W12 0HS, UK. s.gibbs@imperial.ac.uk.
Michael KingDivision of Psychiatry, University College London, Charles Bell House, 67-73 Riding House St, London, W1W 7EH, UK. m.king@medsch.ucl.ac.uk.
Jane M BlazebySchool of Social and Community Medicine, University of Bristol, Bristol, BS8 2PS, UK. j.m.blazeby@bristol.ac.uk.
Susan MichieUCL Centre for Behaviour Change, University College London, 1-19 Torrington Place, London, WC1E 7HB, UK. s.michie@ucl.ac.uk.
Anne LanceleyDepartment of Women's Cancer, UCL Elizabeth Garrett Anderson Institute for Women's Health, University College London, Medical School Building, 74 Huntley Street, London, WC1E 6AU, UK. a.lanceley@ucl.ac.uk.
Alex ClarkeDepartment of Plastic and Reconstructive Surgery, The Royal Free Hospital, Pond Street, Hampstead, London, NW3 2QG, UK. alexmacleodclarke@gmail.com.
Gill LivingstonMental Health of Older People, Division of Psychiatry, University College London, Charles Bell House, 67-73 Riding House Street, London, W1W 7EH, UK. g.livingston@ucl.ac.uk.

Funding

Department of Health 09/2001/04
6 · The paper itself

Abstract

backgroundMultidisciplinary team (MDT) meetings are the core mechanism for delivering mental health care but it is unclear which models improve care quality. The aim of the study was to agree recommendations for improving the effectiveness of adult mental health MDT meetings, based on national guidance, research evidence and experiential insights from mental health and other medical specialties.

methodsWe established an expert panel of 16 health care professionals, policy-makers and patient representatives. Five panellists had experience in a range of adult mental health services, five in heart failure services and six in cancer services. Panellists privately rated 68 potential recommendations on a scale of one to nine, and re-rated them after panel discussion using the RAND/UCLA Appropriateness Method to determine consensus.

resultsWe obtained agreement (median ≥ 7) and low variation in extent of agreement (Mean Absolute Deviation from Median of ≤1.11) for 21 recommendations. These included the explicit agreement and auditing of MDT meeting objectives, and the documentation and monitoring of treatment plan implementation.

conclusionsFormal consensus development methods that involved learning across specialities led to feasible recommendations for improved MDT meeting effectiveness in a wide range of settings. Our findings may be used by adult mental health teams to reflect on their practice and facilitate improvement. In some other contexts, the recommendations will require modification. For example, in Child and Adolescent Mental Health Services, context-specific issues such as the role of carers should be taken into account. A limitation of the comparative approach adopted was that only five members of the panel of 16 experts were mental health specialists.

Indexed as

Delivery of Health Care, IntegratedInterdisciplinary CommunicationMental HealthAdultCongresses as TopicConsensus Statements as TopicHealth Planning GuidelinesHumansMental Health ServicesModels, OrganizationalProfessional CompetenceQuality Improvement

Identifiers

PMID26138754
PMCPMC4489364

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.